Individual provider Active NPI

Ninh Ham Nguyen, D.O.

  • Otolaryngology/Facial Plastic Surgery Physician
  • Houston, TX
National Provider Identifier
1003027038
Registry record updated Jan 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology/Facial Plastic Surgery PhysicianTaxonomy code 207YX0905X
License
N8230 Issued in TX
Practice address
11302 Fallbrook Dr
Ste 206
Houston, TX 77065-4235
Phone
(832) 604-3636
Fax
(281) 469-8932
NPI assigned
May 24, 2007
Last updated
Jan 27, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology/Facial Plastic Surgery Physician 207YX0905X 5101015613 MI
Otolaryngology/Facial Plastic Surgery Physician 207YX0905X N8230 TX Primary

Addresses

Primary practice location

11302 Fallbrook Dr
Ste 206
Houston, TX 77065-4235

Mailing address

11302 Fallbrook Dr
Ste 206
Houston, TX 77065-4235
Phone (832) 604-3636

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address NINH.NGUYEN@hca9.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110628000410 TX Practitioner - Otolaryngology 6103004866 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10726 Huffmeister Rd
Unit 140
Houston, TX 77065-3181
Phone (832) 604-3636

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
5101015613MIMDOtolaryngology/Facial Plastic Surgery Physician
N8230TXMDOtolaryngology/Facial Plastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced ENT and Allergy CurrentSince Oct 1, 2022 Accepting new patients

Locations

10726 Huffmeister Rd
Ste 140
Houston, TX 77065
Phone (281) 345-2336

11307 FM 1960 Rd W
Ste 260
Houston, TX 77065
Phone (281) 809-7811

Networks

  • TX HMO D-SNP
  • TX HMO
  • NM HMO C-SNP

Interoperability endpoints

  • Direct secure messaging: 8472-nguyen-ninh@direct.leadingreach.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/BIBJCD/Endpoint/BIBJCD
  • Direct secure messaging: ninh.nguyen@hca9.eclinicaldirectplus.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643241600000",
    "number": "1003027038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11302 FALLBROOK DR",
            "address_2": "STE 206",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770654235",
            "telephone_number": "832-604-3636",
            "fax_number": "281-469-8932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11302 FALLBROOK DR",
            "address_2": "STE 206",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770654235",
            "telephone_number": "832-604-3636",
            "fax_number": "281-469-8932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "NINH",
        "middle_name": "HAM",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-24",
        "last_updated": "2022-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YX0905X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "MI",
            "license": "5101015613",
            "primary": false
        },
        {
            "code": "207YX0905X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "TX",
            "license": "N8230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "NINH.NGUYEN@hca9.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "11302 Fallbrook Dr",
            "address_2": "STE 206",
            "city": "Houston",
            "state": "TX",
            "country_code": "US",
            "postal_code": "770654235",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.